MEDICARE: PAULA SWAIN P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT00003339	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295925758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA SWAIN P.T.

Provider Business Mailing Address
First Line	:	13106 SE 240TH ST
Second Line	:	SUITE 103
City	:	KENT
State	:	WA
Zip	:	98031-9210
Country	:	US
Telephone Number	:	253-631-1933
Fax Number	:

Provider Business Practice Location Address
First Line	:	13106 SE 240TH ST
Second Line	:	SUITE 103
City	:	KENT
State	:	WA
Zip	:	98031-9210
Country	:	US
Telephone Number	:	253-631-1933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	04/02/2012

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Directions to “ PAULA SWAIN P.T.” Practice Location

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